Hannover Score for Polytrauma Outcome (HASPOC)

Zelle, Boris A.; Stalp, M.; Weihs, Ch; Müller, F.; Reiter, Frank; Krettek, Christian; Pape, Hans-Christian

doi:10.1007/s00104-003-0621-y

Cited by 17 publications

(1 citation statement)

References 14 publications

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“…There were only two trauma-specific tools. The Hannover Score for Polytrauma Outcome (HASPOC) [59], was used in 3 studies and the Trauma Outcomes Profile (TOP)[60] in one study. The HASPOC was only used in Germany.…”

Section: Resultsmentioning

confidence: 99%

Health Outcome after Major Trauma: What Are We Measuring?

et al. 2014

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ImportanceTrauma is a global disease and is among the leading causes of disability in the world. The importance of outcome beyond trauma survival has been recognised over the last decade. Despite this there is no internationally agreed approach for assessment of health outcome and rehabilitation of trauma patients.ObjectiveTo systematically examine to what extent outcomes measures evaluate health outcomes in patients with major trauma.Data SourcesMEDLINE, EMBASE, and CINAHL (from 2006–2012) were searched for studies evaluating health outcome after traumatic injuries.Study selection and data extractionStudies of adult patients with injuries involving at least two body areas or organ systems were included. Information on study design, outcome measures used, sample size and outcomes were extracted. The World Health Organisation International Classification of Function, Disability and Health (ICF) were used to evaluate to what extent outcome measures captured health impacts.Results34 studies from 755 studies were included in the review. 38 outcome measures were identified. 21 outcome measures were used only once and only five were used in three or more studies. Only 6% of all possible health impacts were captured. Concepts related to activity and participation were the most represented but still only captured 12% of all possible concepts in this domain. Measures performed very poorly in capturing concepts related to body function (5%), functional activities (11%) and environmental factors (2%).ConclusionOutcome measures used in major trauma capture only a small proportion of health impacts. There is no inclusive classification for measuring disability or health outcome following trauma. The ICF may provide a useful framework for the development of a comprehensive health outcome measure for trauma care.

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Section: Resultsmentioning

confidence: 99%

Health Outcome after Major Trauma: What Are We Measuring?

et al. 2014

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Functional Long-Term Outcomes in Polytrauma Patients with Orthopedic Injuries

Zelle

Marcantonio

Tarkin

2010

Damage Control Management in the Polytrauma Patient

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Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

Lotfalla

Halm

Schepers

et al. 2022

Eur J Trauma Emerg Surg

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Introduction Throughout the years, a decreasing trend in mortality rate has been demonstrated in patients suffering severe trauma. This increases the relevance of documentation of other outcomes for this population, including patient-reported outcome measures (PROMs), such as health-related quality of life (HRQoL). The aim of this review was to summarize the results of the studies that have been conducted regarding HRQoL in severely injured patients (as defined by the articles’ authors). Also, we present the instruments that are used most frequently to assess HRQoL in patients suffering severe trauma. Methods A literature search was conducted in the Cochrane Library, EMBASE, PubMed, and Web of Science for articles published from inception until the 1st of January 2022. Reference lists of included articles were reviewed as well. Studies were considered eligible when a population of patients with major, multiple or severe injury and/or polytrauma was included, well-defined by means of an ISS-threshold, and the outcome of interest was described in terms of (HR)QoL. A narrative design was chosen for this review. Results The search strategy identified 1583 articles, which were reduced to 113 after application of the eligibility criteria. In total, nineteen instruments were used to assess HRQoL. The SF-36 was used most frequently, followed by the EQ-5D and SF-12. HRQoL in patients with severe trauma was often compared to normative population norms or pre-injury status, and was found to be reduced in both cases, regardless of the tool used to assess this outcome. Some studies demonstrated higher scoring of the patients over time, suggesting improved HRQoL after considerable time after severe trauma. Conclusion HRQoL in severely injured patients is overall reduced, regardless of the instrument used to assess it. The instruments that were used most frequently to assess HRQoL were the SF-36 and EQ-5D. Future research is needed to shed light on the consequences of the reduced HRQoL in this population. We recommend routine assessment and documentation of HRQoL in severely injured patients.

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Hannover Score for Polytrauma Outcome (HASPOC)

Cited by 17 publications

References 14 publications

Health Outcome after Major Trauma: What Are We Measuring?

Health Outcome after Major Trauma: What Are We Measuring?

Functional Long-Term Outcomes in Polytrauma Patients with Orthopedic Injuries

Health-related quality of life after severe trauma and available PROMS: an updated review (part I)

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